NPI | 1669590105 |
---|---|
Former Name | MELISSA L BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 50290) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301087956) |
207L00000X Anesthesiology (Licence: MA 236063) | |
207L00000X Anesthesiology (Licence: MA 233371) | |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT196412) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2013-04-11 |